MEDICAL SURGICAL NURSING: EXAM
SET EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS 2025-2026 LATEST
EDITION.
Nurse |Ann |is |assessing |a |3 |month |old |infant |during |a |pediatric |clinic |visit. |The |nurse |believes |
the |infant |is |demonstrating |early |manifestations |of |respiratory |distress. |Which |clinical |
manifestations |should |the |nurse |document? |Select |all |that |applies. |
1. |Bradypneia
2. |Acrocyanosis
3. |Intercostal |retractions
4. |Nasal |Congestions
5. |Tachypneia
a. |1 |and |2
b. |3 |and |4
c. |4 |and |5
d. |3 |and |5 |- |ANS |-C. |4 |and |5
When |caring |for |a |child |with |acute |bronchitis |which |nursing |interventions |should |be |included |
in |the |plan |of |care? |Select |all |that |applies.
1. |Encourage |fluid |intake
2. |Administer |oxygen
3. |Suction |the |nose
,4. |Administer |Antibiotics
5. |Follow |contact |precautions
6. |Encourage |activity
a. |1,2,3,4,6
b. |1,2,3,5
c. |2,3,4,5
d. |1,2,3,4,5,6 |- |ANS |-D. |1,2,3,4,5,6
The |nurse |is |assisting |in |the |development |of |a |plan |of |care |for |a |child |with |asthma. |In |
planning |care, |many |goals |would |be |appropriate |for |this |child |and |or |family |caregiver. |Which |
two |goals |would |be |the |highest |priority |for |this |child |or |family?
1. |The |child |will |maintain |a |clear |airway.
2. |The |child |will |have |adequate |fluid |intake.
3. |The |child |and |the |family |will |connect |with |families |living |with |the |same |diagnosis.
4. |The |child |and |the |family |will |improve |knowledge |and |understanding |of |varied |
pharmacologic |options.
5. |The |child |will |maintain |adequate |pain |control.
a. |1,2
b. |3,4
c. |1,5
d. |2,4 |
e. |4,5 |- |ANS |-A. |1 |and |2
,A |1 |year |old |with |tetralogy |of |Fallot |turns |blue |during |temper |tantrum. |What |will |the |nurse |do
|first?
a. |Place |the |child |in |the |knee |chest |position
b. |Assess |for |irregular |heart |rate
c. |Listen |for |an |increased |respiratory |rate
d. |Explain |to |the |child |the |need |to |calm |down |- |ANS |-A. |Place |the |child |in |the |knee |chest |
position
The |nurse |is |caring |for |a |child |with |rheumatic |fever |who |has |polyarthritis. |which |lab |result |
would |the |nurse |most |anticipate |with |this |child's |diagnosis |and |symptoms.
a. |increase |clotting |time
b. |decreased |white |blood |cell |count
c. |increased |erythrocyte |sedimentation |rate |(ESR)
d. |decreased |leukocyte |- |ANS |-C. |Increased |erythrocyte |sedimentation |rate
The |parents |of |a |10 |year |old |boy |bring |the |child |to |the |clinic |for |an |evaluation. |Which |
statement |by |the |parents |would |alert |the |nurse |the |possibility |of |rheumatic |fever?
a. |He |had |a |pretty |bad |sore |throat |10 |days |ago
b. |His |fever |has |been |running |around |100F |(38.7C) |the |past |2 |days.
c. |We |noticed |a |white, |thick |coating |on |his |tongue |yesterday.
d. |He's |been |tired |the |last |several; |days. |- |ANS |-A. |He |had |a |pretty |bad |sore |throat |10 |days |
ago.
Nurse |Gina |sees |a |10 |year |old |child |in |an |ambulatory |setting |because |of |rheumatic |fever. |
Which |of |the |following |would |the |nurse |expect |t |find |revealed |by |the |health |history?
, a. |knee |pain, |abdominal |rash, |subcutaneous |nodules
b. |an |elevated |temperature, |back |pain, |loss |hair
c. |fatigue, |slow |pulse, |frequent |urination
d. |loss |of |weight, |abdominal |pain, |chest |pain |- |ANS |-A. |knee |pain, |abdominal |rash, |
subcutaneous |nodules
Nurse |Boyet |is |caring |for |a |7 |year |old |child |with |reports |of |generalized |joint |pain |and |
pharyngitis. |During |assessment, |the |nurse |notes |a |cardiac |murmur. |Which |action |by |the |nurse |
is |priority?
a. |Administer |penicillin
b. |Assess |skin |for |rash
c. |Swab |throat |culture
d. |Evaluate |C-reactive |protein |- |ANS |-C. |Swab |throat |culture
After |teaching |a |class |about |the |hemodynamic |characteristics |of |congenital |heart |disease, |the |
instructor |determines |that |the |teaching |has |been |successful |when |the |class |identifies |which |
defect |as |an |example |of |a |disorder |involvinh |increased |pulmonary |flow?
a. |Tetralogy |of |Fallot
b. |Atrial |septal |defect
c. |Hypoplastic |left |heart |syndrome
d. |Transposition |of |the |great |vessels |- |ANS |-b. |Atrial |septal |defect
Nurse |Joshua |is |assessing |children |in |an |ambulatory |clinic. |Which |child |would |be |most |likely |to
|have |iron |deficiency |anemia?
SET EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS 2025-2026 LATEST
EDITION.
Nurse |Ann |is |assessing |a |3 |month |old |infant |during |a |pediatric |clinic |visit. |The |nurse |believes |
the |infant |is |demonstrating |early |manifestations |of |respiratory |distress. |Which |clinical |
manifestations |should |the |nurse |document? |Select |all |that |applies. |
1. |Bradypneia
2. |Acrocyanosis
3. |Intercostal |retractions
4. |Nasal |Congestions
5. |Tachypneia
a. |1 |and |2
b. |3 |and |4
c. |4 |and |5
d. |3 |and |5 |- |ANS |-C. |4 |and |5
When |caring |for |a |child |with |acute |bronchitis |which |nursing |interventions |should |be |included |
in |the |plan |of |care? |Select |all |that |applies.
1. |Encourage |fluid |intake
2. |Administer |oxygen
3. |Suction |the |nose
,4. |Administer |Antibiotics
5. |Follow |contact |precautions
6. |Encourage |activity
a. |1,2,3,4,6
b. |1,2,3,5
c. |2,3,4,5
d. |1,2,3,4,5,6 |- |ANS |-D. |1,2,3,4,5,6
The |nurse |is |assisting |in |the |development |of |a |plan |of |care |for |a |child |with |asthma. |In |
planning |care, |many |goals |would |be |appropriate |for |this |child |and |or |family |caregiver. |Which |
two |goals |would |be |the |highest |priority |for |this |child |or |family?
1. |The |child |will |maintain |a |clear |airway.
2. |The |child |will |have |adequate |fluid |intake.
3. |The |child |and |the |family |will |connect |with |families |living |with |the |same |diagnosis.
4. |The |child |and |the |family |will |improve |knowledge |and |understanding |of |varied |
pharmacologic |options.
5. |The |child |will |maintain |adequate |pain |control.
a. |1,2
b. |3,4
c. |1,5
d. |2,4 |
e. |4,5 |- |ANS |-A. |1 |and |2
,A |1 |year |old |with |tetralogy |of |Fallot |turns |blue |during |temper |tantrum. |What |will |the |nurse |do
|first?
a. |Place |the |child |in |the |knee |chest |position
b. |Assess |for |irregular |heart |rate
c. |Listen |for |an |increased |respiratory |rate
d. |Explain |to |the |child |the |need |to |calm |down |- |ANS |-A. |Place |the |child |in |the |knee |chest |
position
The |nurse |is |caring |for |a |child |with |rheumatic |fever |who |has |polyarthritis. |which |lab |result |
would |the |nurse |most |anticipate |with |this |child's |diagnosis |and |symptoms.
a. |increase |clotting |time
b. |decreased |white |blood |cell |count
c. |increased |erythrocyte |sedimentation |rate |(ESR)
d. |decreased |leukocyte |- |ANS |-C. |Increased |erythrocyte |sedimentation |rate
The |parents |of |a |10 |year |old |boy |bring |the |child |to |the |clinic |for |an |evaluation. |Which |
statement |by |the |parents |would |alert |the |nurse |the |possibility |of |rheumatic |fever?
a. |He |had |a |pretty |bad |sore |throat |10 |days |ago
b. |His |fever |has |been |running |around |100F |(38.7C) |the |past |2 |days.
c. |We |noticed |a |white, |thick |coating |on |his |tongue |yesterday.
d. |He's |been |tired |the |last |several; |days. |- |ANS |-A. |He |had |a |pretty |bad |sore |throat |10 |days |
ago.
Nurse |Gina |sees |a |10 |year |old |child |in |an |ambulatory |setting |because |of |rheumatic |fever. |
Which |of |the |following |would |the |nurse |expect |t |find |revealed |by |the |health |history?
, a. |knee |pain, |abdominal |rash, |subcutaneous |nodules
b. |an |elevated |temperature, |back |pain, |loss |hair
c. |fatigue, |slow |pulse, |frequent |urination
d. |loss |of |weight, |abdominal |pain, |chest |pain |- |ANS |-A. |knee |pain, |abdominal |rash, |
subcutaneous |nodules
Nurse |Boyet |is |caring |for |a |7 |year |old |child |with |reports |of |generalized |joint |pain |and |
pharyngitis. |During |assessment, |the |nurse |notes |a |cardiac |murmur. |Which |action |by |the |nurse |
is |priority?
a. |Administer |penicillin
b. |Assess |skin |for |rash
c. |Swab |throat |culture
d. |Evaluate |C-reactive |protein |- |ANS |-C. |Swab |throat |culture
After |teaching |a |class |about |the |hemodynamic |characteristics |of |congenital |heart |disease, |the |
instructor |determines |that |the |teaching |has |been |successful |when |the |class |identifies |which |
defect |as |an |example |of |a |disorder |involvinh |increased |pulmonary |flow?
a. |Tetralogy |of |Fallot
b. |Atrial |septal |defect
c. |Hypoplastic |left |heart |syndrome
d. |Transposition |of |the |great |vessels |- |ANS |-b. |Atrial |septal |defect
Nurse |Joshua |is |assessing |children |in |an |ambulatory |clinic. |Which |child |would |be |most |likely |to
|have |iron |deficiency |anemia?
